Healthcare Provider Details

I. General information

NPI: 1417878703
Provider Name (Legal Business Name): KISHWAUKEE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32450 WHITE ST
KIRKLAND IL
60146-8543
US

IV. Provider business mailing address

32450 WHITE ST
KIRKLAND IL
60146-8543
US

V. Phone/Fax

Practice location:
  • Phone: 630-340-2376
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LEXIE SIEGMANN
Title or Position: THERAPIST OWNER
Credential: LMFT
Phone: 630-340-2376